DR. DEAN THOMAS SERLETIC (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1487789285
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. DEAN THOMAS SERLETIC (D.P.M.)
1120 MEDICAL PLAZA DR
SUITE# 180
SHENANDOAH, TX 773803242
Phone: (281) 364-9041
Fax: (281) 363-9712
Type: Mailing
425 HUEHL RD, UNIT 13
NORTHBROOK, IL 600622319
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
14410 Route 37
Johnston City, IL 629513166
Phone: (618) 983-6911
Fax: (618) 983-6913
Type: Location
PO BOX 155
CHRISTOPHER, IL 628220155
Phone: (618) 724-2401
Fax: (618) 724-2571
Type: Mailing
4241 STATE HIGHWAY 14
CHRISTOPHER, IL 628221037
Phone: (618) 724-2401
Fax: (618) 724-9257
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090115000651 | I | Podiatry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 387 | 134 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 339 | 121 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 305 | 107 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 62 | 26 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 35 | 20 | $0 |
Insurance plans in this area (ZIP 77380)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Internal Medicine, Emergency Medicine | IL | |
| General Practice | NV | |
| Physician Assistant | IL | |
| Internal Medicine, Geriatric Medicine | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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